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General Nomination Form

Name

Phone

Race Number & Prefix

Members Race Fees: $20 for your first class, $10 for each class thereafter, payable to the club account before race day. Non-Members $30 for your first class $10 thereafter per class.

Classes: * Required

Dirt Modified

Dirt Mod Develop

Wingless

Late Model

Speedcar

Sprintcar

Electric Speedway

Bank Details: Bendigo Bank

BSB: 633000

Acc: 141863191

Thanks for nominating. See you there!

Special Event Nomination Form

Name

Phone

Race Number & Prefix

Dirt Mod Transponder Number

Classes: * Required

Dirt Modified

Dirt Mod Develop

Wingless

Late Model

Speedcar

Sprintcar

Wingless Transponder Number

Late Model Transponder Number

Speedcar Transponder Number

Sprintcar Transponder Number

Race Fees: $35 for your first class, $15 for each class thereafter, payable to the club account before race day.

Bank Details: Bendigo Bank

BSB: 633000

Acc: 141863191

Thanks for nominating. See you there!

Membership Form

Full Name

Address

Suburb

Postcode

Phone

Provide 3 Race Numbers in order of preference.

Membership Type * Required

Adult

Adult + Child

Adult + 2 x Children

Associate - Non Racing

Child - U/16

$140

$190

$220

$40

$70

* All Membership fees include Free Practice Days

Bank Details: Bendigo Bank

BSB: 633000

Acc: 141863191

Thanks for submitting your nomination form, an email will be sent out with your acceptance after the next committee meeting.

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About US

Little Avalon Raceway is situated inside Avalon Raceway @ 210 Old Melbourne Road, Lara Victoria 3212.

VQS caters for all ages 8 and up, we are a fun family orientated club.

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